Power management techniques for an infusion pump system

ABSTRACT

Some embodiments of an infusion pump system can employ a number of power management techniques to avoid using substantially excessive power during operation of the pump drive system. Thus, the infusion pump system can draw upon the energy supply in an efficient manner that extends the useful life on the power supply. Furthermore, the infusion pump system can be configured estimate an amount of power remaining to operate the pump system without the requirement of directly detecting the remaining charge on power supply device (e.g., without detecting the remaining charge on a battery). As such, the infusion pump system can readily inform a user of a particular estimated amount of time remaining for medicine dispensing operations.

CROSS-REFERENCE TO RELATED APPLICATION(S)

This application is a continuation of U.S. patent application Ser. No.15/228,654, filed on Aug. 4, 2016, which is a divisional of U.S. patentapplication Ser. No. 13/613,160, filed Sep. 13, 2012 (now U.S. Pat. No.9,415,158), which is a divisional of U.S. patent application Ser. No.11/852,019, filed on Sep. 7, 2007 (now U.S. Pat. No. 8,287,514), theentire contents of which are hereby incorporated by reference.

TECHNICAL FIELD

This document relates to managing the power usage in an infusion pumpsystem.

BACKGROUND

Pump devices are commonly used to deliver one or more fluids to atargeted individual. For example, a medical infusion pump device may beused to deliver a medicine to a patient as part of a medical treatment.The medicine that is delivered by the infusion pump device can depend onthe condition of the patient and the desired treatment plan. Forexample, infusion pump devices have been used to deliver insulin to thevasculature of diabetes patients so as to regulate blood-glucose levels.In some circumstances, the infusion pump devices may operate on batterypower to facilitate portability of the pump devices.

SUMMARY

Some embodiments of an infusion pump system can employ a number of powermanagement techniques to avoid using substantially excessive powerduring operation of the pump drive system. Thus, the infusion pumpsystem can draw upon the energy supply in an efficient manner thatextends the useful life on the power supply. Furthermore, the infusionpump system can be configured estimate an amount of power remaining tooperate the pump system without the requirement of directly detectingthe remaining charge on power supply device (e.g., without detecting theremaining charge on a battery). As such, the infusion pump system canreadily inform a user of a particular estimated amount of time remainingfor medicine dispensing operations.

In particular embodiments, a wearable infusion pump system may include apump device and a controller device. The pump device can include a drivesystem to dispense medicine from the pump device and can also include anon-rechargeable battery. The controller device can include arechargeable energy source that outputs electrical energy to the drivesystem of the pump device. The rechargeable energy source may receiveelectrical energy from the non-rechargeable battery of the pump deviceto maintain the rechargeable energy source at a charge level greaterthan a threshold charge level when the non-rechargeable battery is in anon-depleted state. The controller device can output an alert indicativeof a remaining power supply based at least partially on the thresholdcharge level when the non-rechargeable battery of the pump device is ina depleted state or disconnected from electrical communication with therechargeable energy source.

In some embodiments, a medicinal fluid supply system may include a drivesystem to dispense a medicine from a portable infusion pump unit. Thesystem can also include control circuitry to communicate electroniccontrol signals to the drive system. Furthermore, the system may includea rechargeable power supply electrically connected to the controlcircuitry. The drive system can be powered by the electrical energystored in the rechargeable power supply. The system may also include areplaceable battery electrically connected to the rechargeable powersupply. The rechargeable power supply can receive electrical energy fromreplaceable battery to maintain the rechargeable power supply at acharge level greater than a threshold charge level when the replaceablebattery is in a non-depleted state. The system may further include auser interface that outputs a user alert indicative of a remaining powersupply based at least partially on the threshold charge level when thenon-rechargeable battery device is in a depleted state or disconnectedfrom the electrical connection with the rechargeable power supply.

In particular embodiments, a method of administering medicinal fluid toa patient can include supplying electrical energy from a rechargeableenergy source to a drive system of a pump device to activate the drivesystem and dispense medicinal fluid from the pump device. The method canalso include charging the rechargeable energy source with energy from areplaceable battery to maintain the rechargeable energy source at acharge level greater than a threshold charge level when the replaceablebattery is in a non-depleted state. The method may further includeoutputting a user alert indicative of a remaining power supply based atleast partially on the threshold charge level when the replaceablebattery is in a depleted state or disconnected from electricalcommunication with the rechargeable energy source.

Some embodiments of a wearable infusion pump system may include a pumpdevice having a drive system to dispense medicine from the pump device.The drive system can define an energy requirement profile to perform amedicine dispensing operation. The system may also include an energystorage source to deliver electrical energy to the drive system. Thesystem may further include a controller device to initiate the medicinedispensing operation by supplying a pattern of voltage pulses from theenergy storage source to the drive system. The pattern of voltage pulsescan be correlated to the energy requirement profile of the drive system.

In particular embodiments, a method of administering medicinal fluid toa patient can include delivering a pattern of voltage pulses from anenergy source to a drive system of a portable infusion pump device. Thepattern of voltage pulses can be correlated to an energy requirementprofile defined by the drive system. The method can also includeactuating one or more components of the drive system in response to thedelivery of the pattern of voltage pulses so as to dispense a medicinalfluid from the portable infusion pump device.

In other embodiments, a wearable infusion pump system may include adisposable and non-reusable pump device and a reusable controllerdevice. The disposable and non-reusable pump device can define a spaceto receive a medicine cartridge and can include a drive system todispense medicine from the pump device. The drive system can define anenergy requirement profile to perform a medicine dispensing operation.The reusable controller device can include a pulse-width modulationcontroller and an energy storage source to deliver electrical energy tothe drive system. The pulse-width modulation controller can provide apattern of voltage pulses from the energy storage source to the drivesystem. The pattern of voltage pulses can be correlated to the energyrequirement profile of the drive system.

Some embodiments of a wearable infusion pump system may include a pumpdevice including a drive system to dispense medicine from the pumpdevice. Also, the system may include an energy storage source to deliverelectrical energy to the drive system. The system may further include acontroller device to initiate the medicine dispensing operation bysupplying a pattern of voltage pulses from the energy storage source tothe drive system. The controller device can detect a voltage outputlevel of the energy storage source and can adjust the frequency orduration of the voltage pulses based on the detected voltage outputlevel.

In particular embodiments, a method of administering medicinal fluid toa patient may include detecting a voltage output of an energy sourceelectrically connected to a drive system of a portable infusion pumpsystem. The portable infusion pump device can include a medicinedispensed to a user when one or more components of the drive system areactuated. The portable infusion pump system may actuate one or morecomponents of the drive system by supplying patterns of voltage pulsesfrom the energy source to the drive system. The method may also includedetermining a pattern of voltage pulses to be supplied to the drivesystem based on the detected voltage output. The method may furtherinclude delivering the determined pattern of voltage pulses from theenergy source to the drive system of a portable infusion pump device toactuate one or more components of the drive system to dispense amedicinal fluid from the portable infusion pump device.

Some or all of the embodiments described herein may provide one or moreof the following advantages. First, some embodiments of the infusionpump system may include a configuration that reliably predicts an amountof battery life remaining after a first battery in the disposable pumpdevice is depleted. The controller device can then inform a user of aparticular estimate amount of medicine dispensing time remaining. Byinforming the user that she has an amount of medicine dispensing timeremaining, the user can ensure that she is able to supply additionalenergy to the infusion pump system all of the reserve power is depleted.

Second, certain embodiments of an infusion pump system may include aconfiguration that can estimate an amount of power remaining in thedevice without having to directly detect the remaining charge on thebattery. Operations that directly detect the remaining charge level of abattery can themselves consume significant energy. Accordingly, byavoiding a direct measurement of remaining charge, power can beconserved and result in a longer battery life.

Third, some embodiments of the infusion pump system can conserve energyby using a pulse-width modulation system to actuate the drive system ofthe pump device. The use of pulse-width modulation can allow theinfusion pump system to avoid using more power than necessary to operatethe drive system. For example, the controller can provide a pattern ofvoltage pulses to the drive system that average out to approximatelyequal an energy requirement profile for the drive system. The widths ofthe pulses can be adjusted as the voltage output of the battery changesand the charge level of the battery changes.

Fourth, the infusion pump system may include a reusable controllerdevice that is removably attachable to a disposable single-use pumpdevice to provide an electrical connection therebetween. In thesecircumstances, the infusion pump system can include an rechargeableenergy source arranged in the reusable controller device and adisposable battery in the disposable single-use pump device such thatthe rechargeable energy source is not discarded with the single-use pumpdevice, but the disposable battery in the disposable pump device can beused to recharge the rechargeable energy source and then discarded withthe disposable pump device. Accordingly, the rechargeable energy sourceinstrumentation can be employed in a cost-effective manner that permitsreuse of the instrumentation with a series of different pump deviceseach including another source of recharging energy for the rechargeableenergy source.

Fifth, some embodiments of the pump device may be attached to thecontroller device so that a user can readily monitor infusion pumpoperation by simply viewing the user interface connected to the pumpdevice. In these circumstances, the user may activate and control thepump device without the requirement of locating and operating a separatemonitoring module.

Sixth, some embodiments of the infusion pump system may be configured tobe portable, wearable, and (in some circumstances) concealable. Forexample, a user can conveniently wear the infusion pump system on theuser's skin under clothing or can carry the pump device in the user'spocket (or other portable location) while receiving the medicinedispensed from the pump device.

The details of one or more embodiments are set forth in the accompanyingdrawings and the description below. Other features, objects, andadvantages will be apparent from the description and drawings, and fromthe claims.

DESCRIPTION OF DRAWINGS

FIG. 1 is a perspective view of an infusion pump system in accordancewith some embodiments.

FIG. 2 is a perspective view of the infusion pump system of FIG. 1 in anassembled state.

FIG. 3 is another perspective view of the infusion pump system of FIG.2.

FIG. 4 is a perspective view of the infusion pump system of FIG. 1 in adetached state.

FIG. 5 is another perspective view of the infusion pump system on FIG.4.

FIG. 6 is a perspective view of an infusion pump system, in accordancewith some embodiments.

FIG. 7 is a perspective view of the infusion pump system of FIG. 6 wornon the clothing of a user.

FIG. 8 is a perspective view of an infusion pump system worn on skin ofa user, in accordance with particular embodiments.

FIGS. 9-10 are perspective views of a pump device being detached from acontroller device, in accordance with some embodiments.

FIGS. 11-12 are perspective views of the pump device of FIGS. 9-10 beingdiscarded and the controller device of FIGS. 9-10 being reused with anew pump device.

FIGS. 13-14 are perspective views of the new pump device of FIG. 11being attached to the controller device of FIG. 11.

FIG. 15 is an exploded perspective view of a controller device for aninfusion pump system, in accordance with some embodiments.

FIG. 16 is a flow chart depicting power states of the infusion pumpsystem.

FIG. 17 is an exploded perspective view of a pump device for an infusionpump system, in accordance with some embodiments.

FIG. 18 is a perspective view of a portion of the pump device of FIG.17.

FIG. 19 is a top view of a portion of the pump device of FIG. 17.

FIGS. 20-23 are perspective views of a portion of a drive system for thepump device of FIG. 17.

FIG. 24 is a depiction of how a PWM Controller supplies power to thedrive system.

FIG. 25 is a graph depicting an example of a power requirement profilefor a drive system.

FIG. 26A-26D are graphs depicting theoretical power requirements for adrive system in accordance with some embodiments.

FIG. 27 is a graph depicting a pulse width modulation torque curve inaccordance with some embodiments, and FIG. 28 is a graph depicting acontinuous torque curve superimposed on the pulse width modulationtorque curve of FIG. 27.

FIGS. 29A and 29B are graphs depicting pulse width modulation torquecurves in accordance with some embodiments.

FIGS. 30A, 30B, and 30C are graphs depicting torque curves in accordancewith some embodiments.

FIG. 31 is a graph depicting an adjustment of pulse widths for changesin voltage output.

FIG. 32 is a graph depicting an adjustment to the power adjusted torquecurves in accordance with some embodiments.

DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS

Referring to FIGS. 1-3, an infusion pump system 10 can include a pumpdevice 100 and a controller device 200 that communicates with the pumpdevice 100. The pump device 100 can include a housing structure 110 thatdefines a cavity 116 in which a fluid cartridge 120 can be received. Thepump device 100 also can include a cap device 130 to retain the fluidcartridge 120 in the cavity 116 of the housing structure 110. The pumpdevice 100 can include a drive system (described in more detail below)that advances a plunger 125 in the fluid cartridge 120 so as to dispensefluid therefrom. The controller device 200 communicates with the pumpdevice 100 to control the operation of the drive system. When thecontroller device 200, the pump device 100 (including the cap device130), and the fluid cartridge 120 are assembled together, the user can(in some embodiments) conveniently wear the infusion pump system 10 onthe user's skin under clothing or in the user's pocket while receivingthe fluid dispensed from the pump device 100.

The controller device 200 may be configured as a reusable component thatprovides electronics and a user interface to control the operation ofthe pump device 100. In such circumstances, the pump device 100 can be adisposable component that is disposed of after a single use. Forexample, as described in more detail below in connection with FIGS.11-16, the pump device 100 can be a “one time use” component that isthrown away after the fluid cartridge 120 therein is exhausted.Thereafter, the user can removably attach a new pump device 100′ (havinga new medicine cartridge 120′) to the reusable controller device 200 forthe dispensation of fluid from a new fluid cartridge 120′. Accordingly,the user is permitted to reuse the controller device 200 (which mayinclude complex or valuable electronics) while disposing of therelatively low-cost pump device 100 after each use. Such a pump system10 can provide enhanced user safety as a new pump device 100 (and drivesystem therein) is employed with each new fluid cartridge 120.

The infusion pump system 10 may also include a rechargeable battery 245(refer also to FIG. 17) in the controller device 200 and a chargerbattery 345 (refer also to FIGS. 17-19) in the pump device 100. Thecharger battery 345 can be disposable in that it can be discarded withthe pump device 100 after exhaustion of the pump device 100. Therechargeable battery 245 can receive electrical energy from the chargerbattery 345 to maintain the rechargeable battery 245 at a charge greaterthan a threshold charge level. As described in more detail below, therechargeable battery 245 can provide electrical energy to the drivesystem 300 (FIGS. 17-19) of the pump device 100 to dispense medicine tothe patient. If the charger batter 345 in the pumps device becomesdepleted, the controller device 200 can outputs an alert indicative ofan estimated remaining power supply. This estimated remaining power canbe based at least partially on the threshold charge level. Accordingly,infusion pump system 10 can incorporate two batteries 245 and 345 thatcan be used to accurately estimate the remaining power supply when oneof the batteries (e.g., charger battery 345) becomes depleted. Thisfeatures permits the estimation of the remaining power supply withoutnecessarily detecting an actual charge level of the rechargeable battery245, a function that can itself consume energy. In other embodiments, amonolithic infusion pump system can include a rechargeable energy source245 and a replaceable battery 345, which can be individually removedfrom the infusion pump system.

As described in more detail below, the infusion pump system 10 may alsoconserve energy by using a pulse-width modulation (PWM) controller tooutput a pattern of pulses of voltage from the rechargeable battery 245to the drive system. The use of PWM can reduce the total amount of powerdelivered to a drive system 300 (FIGS. 17-19) without losses normallyincurred when a power source is limited by resistive means. This isbecause—in these embodiments that employ the PWM controller—the averagepower delivered is proportional to the modulation duty cycle. With asufficiently high modulation rate, the drive system 300 (e.g., therotational motor 320 in FIG. 17) may serve as a passive filter thatsmoothes the pulse train, thereby resulting in an average power waveformdelivered to the drive system. Accordingly, the PWM controller canreduce the amount of energy drawn from the rechargeable battery 245 fora given drive cycle by delivering a pattern of voltage pulses to thedrive system 300 such that the pulses average out to a delivered energyprofile approximating an energy requirement profile for the drivesystem. Furthermore, in some embodiments, the controller device 200 candetect a voltage output level of the rechargeable battery 245 and selecta voltage pulse duration (width) or frequency based on the voltageoutput level.

Briefly, in use, the pump device 100 is configured to removably attachto the controller device 200 in a manner that provides a secure fitting,an overall compact size, and a reliable electrical connection that isresistant to water migration. For example, as described in more detailbelow in connection with FIGS. 1-5, the controller device 200 caninclude a housing 210 having a number of features that mate withcomplementary features of the pump housing 110. In such circumstances,the controller device 200 can removably attach with the pump device 100in a generally side-by-side configuration while not fully surroundingthe pump housing 110. Accordingly, the pump device 100 and thecontroller device 200 can be separate components that fit together, butthe overall size of the combined assembly is reduced because there is norequirement for one component (e.g., the controller device) tocompletely surround or envelop the second component (e.g., the pumpdevice). The compact size permits the infusion pump system 10 to bediscrete and portable (as described below in connection with FIGS. 6-8).Moreover, at least one of the pump device 100 or the controller device200 can include a release member that facilitates an easy-to-usedetachment and replacement process.

Referring again to FIGS. 1-3, the pump system 10 can be a medicalinfusion pump system that is configured to controllably dispense amedicine from the cartridge 120. As such, the fluid cartridge 120 cancontain a medicine 126 (FIG. 1) to be infused into the tissue orvasculature of a targeted individual, such as a human or animal patient.For example, the pump device 100 can be adapted to receive a medicinecartridge 120 in the form of a carpule that is preloaded with insulin oranother medicine for use in the treatment of Diabetes (e.g., Byetta®,Symlin®, or others). Such a cartridge 120 may be supplied, for example,by Eli Lilly and Co. of Indianapolis, Ind. Other examples of medicinescontained in the fluid cartridge 120 include: pain relief drugs, hormonetherapy, blood pressure treatments, anti-emetics, osteoporosistreatments, or other injectable medicines. The fluid cartridge 120 mayhave other configurations. For example, the fluid cartridge 120 maycomprise a reservoir that is integral with the pump housing structure110 (e.g., the fluid cartridge 120 can be defined by one or more wallsof the pump housing structure 110 that surround a plunger to define areservoir in which the medicine is injected or otherwise received).

In some embodiments, the pump device 100 can include one or morestructures that interfere with the removal of the medicine cartridge 120after the medicine cartridge 120 is inserted into the cavity 116. Forexample, as shown in FIG. 1, the pump housing structure 110 can includeone or more retainer wings 119 that at least partially extend into thecavity 116 to engage a portion of the medicine cartridge 120 when themedicine cartridge 120 is installed therein. Such a configuration mayfacilitate the “one-time-use” feature of the pump device 100. In someembodiments, the retainer wings 119 can interfere with attempts toremove the medicine cartridge 120 from the pump device 100, thusensuring that the pump device 100 will be discarded along with themedicine cartridge 120 after the medicine cartridge 120 is emptied,expired, or otherwise exhausted. Accordingly, the pump device 100 canoperate in a tamper-resistant and safe manner because the pump device100 can be designed with predetermined life expectancy (e.g., the“one-time-use” feature in which the pump device is discarded after themedicine cartridge 120 is emptied, expired, or otherwise exhausted).

Still referring to FIGS. 1-3, the controller device 200 can be removablyattached to the pump device 100 so that the two components aremechanically mounted to one another in a fixed relationship. Such amechanical mounting can form an electrical connection between theremovable controller device 200 and the pump device 100. For example,the controller device 200 can be in electrical communication with aportion of a drive system (not shown in FIGS. 1-3) of the pump device100. As described in more detail below, the pump device 100 can includea drive system that causes controlled dispensation of the medicine orother fluid from the cartridge 120. In some embodiments, the drivesystem incrementally advances a piston rod (not shown in FIGS. 1-3)longitudinally into the cartridge 120 so that the fluid is forced out ofan output end 122. A septum 121 (FIG. 1) at the output end 122 of thefluid cartridge 120 can be pierced to permit fluid outflow when the capdevice 130 is connected to the pump housing structure 110 (described inmore detail below). Thus, when the pump device 100 and the controllerdevice 200 are attached and thereby electrically connected, thecontroller device 200 communicates electronic control signals via ahardwire-connection (e.g., electrical contacts or the like) to the drivesystem or other components of the pump device 100. In response to theelectrical control signals from the controller device 200, the drivesystem of the pump device 100 causes medicine to incrementally dispensefrom the medicine cartridge 120.

As shown in FIG. 1, the pump device 100 can include an electricalconnector 118 (e.g., having conductive pads, pins, and the like) thatare exposed to the controller device 200 and that mate with acomplementary electrical connector (refer to connector 218 in FIG. 4) onthe adjacent face of the controller device 200. The electricalconnectors 118 and 218 provide the electrical communication between thecontrol circuitry (refer, for example, to FIG. 15) housed in thecontroller device 200 and at least a portion of the drive system orother components of the pump device 100. For example, in someembodiments, the electrical connectors 118 and 218 can permit thetransmission of electrical control signals to the pump device 100 andthe reception of feedback signals (e.g., sensor signals) from particularcomponents within the pump device 100. Furthermore, as described in moredetail below, the infusion pump system 10 can include a gasket 140 thatprovides a seal that is resistant to migration of external contaminantswhen the pump device 100 is attached to the controller device 200. Thus,in some embodiments, the infusion pump system 10 can be assembled into awater resistant configuration that protects the electricalinterconnection from water migration (e.g., if the user encounters waterwhile carrying the pump system 10).

Still referring to FIGS. 1-3, the controller device 200 can include auser interface 220 that permits a user to monitor the operation of thepump device 100. In some embodiments, the user interface 220 can includea display device 222 and one or more user-selectable buttons (e.g., fourbuttons 224 a, 224 b, 224 c, and 224 d in this embodiment). The displaydevice 222 can include an active area in which numerals, text, symbols,images, or a combination thereof can be displayed (refer, for example,to FIG. 2). For example, the display device 222 can be used tocommunicate a number of settings or menu options for the infusion pumpsystem 10. In this embodiment, the user may press one or more of thebuttons 224 a, 224 b, 224 c, and 224 d to shuffle through a number ofmenus or program screens that show particular settings and data (e.g.,review data that shows the medicine dispensing rate, the total amount ofmedicine dispensed in a given time period, the amount of medicinescheduled to be dispensed at a particular time or date, the approximateamount of medicine remaining in the cartridge 120, or the like). In someembodiments, the user can adjust the settings or otherwise program thecontroller device 200 by pressing one or more buttons 224 a, 224 b, 224c, and 224 d of the user interface 220. For example, in embodiments ofthe infusion pump system 10 configured to dispense insulin, the user maypress one or more of the buttons 224 a, 224 b, 224 c, and 224 d tochange the dispensation rate of insulin or to request that a bolus ofinsulin be dispensed immediately or at a scheduled, later time.

Accordingly, when the controller device 200 is connected to the pumpdevice 100, the user can be provided with the opportunity to readilymonitor the infusion pump operation by simply viewing the user interface220 of the controller device 200 connected to the pump device 100. Suchmonitoring capabilities may provide comfort to a user who may haveurgent questions about the current operation of the pump device 100.Also, in these embodiments, there may be no need for the user to carryand operate a separate module to monitor the operation of the infusionpump device 100, thereby simplifying the monitoring process and reducingthe number of devices that must be carried by the user. If a need arisesin which the user desires to monitor the operation of the pump device100 or to adjust the settings of the pump system 10 (e.g., to request abolus amount of medicine), the user can readily operate the userinterface 220 of the controller device 200, which is removably attachedto the pump device 100, without the requirement of locating andoperating a separate monitoring module.

Referring now to FIGS. 4-5, when the infusion pump system 10 operates,the controller device 200 can be removably attached to the pump device100 in a side-by-side arrangement. For example, the pump device 100 maybe moved in a longitudinal direction (e.g., refer to direction 219 inFIG. 13) toward the controller device 200 until the complementaryfeatures connect and secure the separate components in the side-by-sidearrangement. In these circumstances, the pump device 100 and thecontroller device 200 can be separate components that fit together, butthe overall size of the combined assembly can be reduced because thereis no requirement for one component (e.g., the controller device or pumpdevice) to surround or envelop the second component (e.g., the pumpdevice or controller device). Moreover, in some embodiments, the pumpdevice 100 and controller device 200 can be readily attached togetherwith a “one-movement” process that is convenient to the user.

The controller device 200 can include a controller housing structure 210having a number of features that are configured to mate withcomplementary features of the pump housing structure 110 so as to form areleasable mechanical connection. For example, the pump housingstructure 110 can include a barrel 111 that mates with a complementarybarrel channel 211 of the controller housing 210. Also, the pump housing110 can include slider channel 112 that slidably engages a complementaryrail 212 defined by the controller housing 210. The slider channel 112can guide the relative motion between the pump device 100 and thecontroller device 200 in the longitudinal direction during theattachment process. Similarly, the pump housing 110 can include asegmented rail 114 a-b (FIG. 1) that mates with a guide channel 214 a-bto direct the relative longitudinal motion between the pump device 100and the controller device 200. As described in more detail below, thesegmented rails 114 a-b can interact with the release member 215 so asto releasably secure the pump device 100 into assembly with thecontroller device 200. In addition, the pump housing 110 can include anextension 113 (FIG. 1) that mates with a depression 213 (FIG. 4) in thecontroller housing 210 when the pump device 100 is fully attached to thecontroller device 200. It should be understood that, in otherembodiments, other features or connector devices can be used tofacilitate the side-by-side mounting arrangement. These other featuresor connector devices can include, for example, magnetic attachmentdevice, mating tongues and grooves, mounting protrusions that frictionfit into mating cavities, or the like.

Still referring to FIGS. 4-5, the pump device 100 and the controllerdevice 200 can be attached in a manner that is resistant to migration ofexternal contaminants (e.g., water, dirt, and the like) both into thepump housing structure 110 and the controller housing structure 210. Forexample, when the pump device 100 is advanced in the longitudinaldirection toward the controller device 200 (as guided by the sliderchannel 112 and the segmented rails 114 a-b), the electrical connector118 (FIG. 5) of the pump device 100 is directed toward engagement withthe mating connector 218 (FIG. 4) of the controller device 200. When theconnectors 118 and 218 join together to form the electrical connection,the gasket 140 is compressed between the adjacent surfaces of the pumphousing 110 and the controller housing 210. The gasket 140 thereby formsa water-resistant seal between the ambient environment and the matedconnectors 118 and 218. Accordingly, in particular circumstances, theinfusion pump system 10 can be assembled into a “water tight”configuration that protects sensitive internal components from watermigration in the event that the user encounters water while wearing thepump system 10. In one example, the gasket 140 can resist migration ofwater to the electrical connectors 118 and 218 even when the system 10is submerged underwater (e.g., in a pool, in a bath, or the like) for anextended period of time, such as at least 10 minutes, at least 30minutes, at least one hour, at least two hours, and preferably at leastfour hours.

In addition, other paths for migration of external contaminants into theassembled pump system 10 can be sealed. For example, the infusion pumpsystem 10 can include one or more seals that are arranged to hindermigration of external contaminants between the cap device 130 and thepump housing 110 into the cavity 116 of the pump device 100. In someembodiments, the seal 131 arranged between the cap device 130 and thebarrel 111 can provide an effective water-resistant seal against watermigration into the cavity. As such, the medicine cartridge 120 and pumpdrive system (not shown in FIGS. 4-5) can be protected during operation.

Still referring to FIGS. 4-5, some embodiments of the infusion pumpsystem 10 may employ a power source arranged in pump device 100 or thecontroller device 200 that draws upon surrounding air for optimumoperation. Because the controller device 200 and the pump device 100 maybe sealed to resist water migration during normal usage, awater-resistant vent instrument 145 can be used to provide the air tothe power source without permitting migration of water therethrough. Forexample, the pump device 100 can contain a first power source 345 in theform of a zinc-air cell battery (refer to FIG. 17), which draws upon thesurrounding air during operation. When the pump device 100 is in use,the pump housing 110 can be sealed to protect the internal drive systemand medicine cartridge from water migration. As such, the pump housing110 can include a water-resistant vent instrument 145 disposed proximateto the first power source 345 (e.g., a zinc air cell battery) so thatsome air may pass through the vent 145 and toward the first power source345. The water-resistant vent instrument 145 can include one or morelayers of a material that is permeable to air and resistant to passageof liquids such as water. For example, the water-resistant ventinstrument 145 can include one or more layers of a GORE-TEX material toresist the migration of water into the pump device while permitting thepassage of air toward the battery.

Accordingly, the pump device 100 and the controller device 200 can bemounted to one another so that the assembled system 10 is resistant towater migration both into the pump housing structure 110 and thecontroller housing structure 210. Such a configuration can also providewater-resistant protection for the electrical connection between thepump device 100 and the controller device 200. Thus, the sensitiveinternal components in the controller device 200 and the pump device 100can be reliably protected from water migration if the user encounterswater (e.g., rain, incidental splashing, and the like) while using thepump system 10.

Referring to FIGS. 6-8, the infusion pump system 10 can be configured tobe portable and can be wearable and concealable. For example, a user canconveniently wear the infusion pump system 10 on the user's skin (e.g.,skin adhesive) underneath the user's clothing or carry the pump device100 in the user's pocket (or other portable location) while receivingthe medicine dispensed from the pump device 100. As described below inconnection with FIGS. 20-26, the drive system of the pump device 100 canbe arranged in a compact manner so that the pump device 100 has areduced length. For example, in the circumstances in which the medicinecartridge 120 has a length of about 6 cm to about 7 cm (about 6.4 cm inone embodiment), the overall length of the pump housing structure 110(which contains medicine cartridge and the drive system) can be about 7cm to about 10 cm and about 7 cm to about 9 cm (about 8.3 cm or less insome embodiments). In addition, the pump housing structure 110 can havean overall height of about 2 cm to about 4 cm (about 3.1 cm or less insome embodiments) and an overall thickness of about 8 mm to about 20 mm(about 17.5 mm or less in one embodiment).

The pump system 10 is shown in FIG. 6 as being held in a user's hand 5so as to illustrate an exemplary size of the system 10 in accordancewith some embodiments. This embodiment of the infusion pump system 10 iscompact so that the user can wear the portable infusion pump system 10(e.g., in the user's pocket, connected to a belt clip, adhered to theuser's skin, or the like) without the need for carrying and operating aseparate module. In such embodiments, the cap device 130 of the pumpdevice 100 can be configured to mate with an infusion set 146. Ingeneral, the infusion set 146 can be a tubing system that connects theinfusion pump system 10 to the tissue or vasculature of the user (e.g.,to deliver medicine into the tissue or vasculature under the user'sskin). The infusion set 146 can include a flexible tube 147 that extendsfrom the pump device 100 to a subcutaneous cannula 149 retained by askin adhesive patch 148 that secures the subcutaneous cannula 149 to theinfusion site. The skin adhesive patch 148 can retain the infusioncannula 149 in fluid communication with the tissue or vasculature of thepatient so that the medicine dispensed through the tube 147 passesthrough the cannula 149 and into the user's body. The cap device 130 canprovide fluid communication between the output end 122 (FIG. 1) of themedicine cartridge 120 and the tube 147 of the infusion set 146.

Referring to FIG. 7, in some embodiments, the infusion pump system 10can be pocket-sized so that the pump device 100 and controller device200 can be worn in the user's pocket 6 or in another portion of theuser's clothing. In some circumstances, the user may desire to wear thepump system 10 in a more discrete manner. Accordingly, the user can passthe tube 147 from the pocket 6, under the user's clothing, and to theinfusion site where the adhesive patch 148 can be positioned. As such,the pump system 10 can be used to delivery medicine to the tissues orvasculature of the user in a portable, concealable, and discrete manner.

Referring to FIG. 8, in some embodiments, the infusion pump system 10can be configured to adhere to the user's skin 7 directly at thelocation in which the skin is penetrated for medicine infusion. Forexample, a rear surface 102 (FIG. 3) of the pump device 100 can includea skin adhesive patch so that the pump device 100 can be physicallyadhered to the skin of the user at a particular location. In theseembodiments, the cap device 130 can have a configuration in whichmedicine passes directly from the cap device 130 into an infusioncannula 149 that is penetrated into the user's skin. In some examples,the user can temporarily detach the controller device 200 (while thepump device 100 remains adhered to the skin 7) so as to view andinteract with the user interface 220.

Referring now to FIGS. 11-16, the infusion pump system 10 can beoperated such that the pump device 100 is a disposable, non-reusablecomponent while the controller device 200 is a reusable component. Inthese circumstances, the pump device 100 may be configured as a“one-time-use” device that is discarded after the medicine cartridge isemptied, expired, or otherwise exhausted. Thus, in some embodiments, thepump device 100 can be designed to have an expected operational life ofabout 1 day to about 30 days, about 1 day to about 20 days, about 1 toabout 14 days, or about 1 day to about 7 days—depending on the volume ofmedicine in the cartridge 120, the dispensation patterns that areselected for the individual user, and other factors. For example, amedicine cartridge 120 containing insulin can have an expected usagelife about 7 days after the cartridge is removed from a refrigeratedstate and the septum 121 is punctured. In some circumstances, thedispensation pattern selected by the user can cause the insulin to beemptied from the medicine cartridge 120 before the 7-day period. If theinsulin is not emptied from the medicine cartridge 120 after the 7-dayperiod, the remaining insulin can become expired sometime thereafter. Ineither case, the pump device 100 and the medicine cartridge 120 thereincan be discarded after exhaustion of the medicine cartridge 120 (e.g.,after being emptied, expired, or otherwise not available for use).

The controller device 200, however, may be reused with subsequent newpump devices 100′ and new medicine cartridges 120′. As such, the controlcircuitry, the user interface components, and other components that mayhave relatively higher manufacturing costs can be reused over a longerperiod of time. For example, in some embodiments, the controller device200 can be designed to have an expected operational life of about 1 yearto about 7 years, about 2 years to about 6 years, or about 3 years toabout 5 years—depending on a number of factors including the usageconditions for the individual user. Accordingly, the user can bepermitted to reuse the controller device 200 (which can include complexor valuable electronics) while disposing of the relatively low-cost pumpdevice 100 after each use. Such a pump system 10 can provide enhanceduser safety as a new pump device 100′ (and drive system therein) isemployed with each new fluid cartridge 120.

Referring to FIGS. 11-12, the same controller device 200 can be reusedwith a new pump device 100′ having a new medicine cartridge 120′retained therein, and the previously used pump device 100 can bediscarded with the exhausted medicine cartridge 120. The new pump device100′ (FIG. 11) can have a similar appearance, form factor, and operationas the previously used pump device 100, and thus the new pump device100′ can be readily attached to the controller device 200 for controlleddispensation of medicine from the new medicine cartridge 120′. In someembodiments, the user can prepare the new pump device 100 for use withthe controller device 200. For example, the user may insert the newmedicine cartridge 120′ in the cavity 116 of the new pump device 100′and then join the cap device 130 to the pump housing to retain the newmedicine cartridge 120′ therein (refer, for example, to FIG. 1).Although the tubing 147 of the infusion set 146 is not shown in FIG. 11,it should be understood that the tubing 147 can be attached to the capdevice 130 prior to the cap device 130 being joined with the housing110. For example, a new infusion set 146 can be connected to the capdevice 130 so that the tubing 147 can be primed (e.g., a selectedfunction of the pump device 100 controlled by the controller device 200)before attaching the infusion set patch to the user's skin. As shown inFIG. 11, the new medicine cartridge 120′ may be filled with medicinesuch that the plunger 125 is not viewable through the barrel 111.

Referring to FIGS. 13-14, the new pump device 100′ can be removablyattached to the controller device 200 to assemble into the infusion pumpsystem 10 for delivery of medicine to the user. Before the pump device100 is electrically connected with the controller device 200, the usermay prepare the new pump device 100′ for use by pulling the removabletab 141 away from the pump housing 110. The new pump device 100′ caninclude the removable tab 141 to seal the battery in the unused pumpdevice 100′ and thereby maintain the battery in a storage mode (refer,for example, to FIG. 11 in which the removable tab 141 is arranged tocover an internal face of the vent 115). As described in more detailbelow, when the new pump device 100′ is prepared for usage, theremovable tab 141 can be pulled away from the pump housing 110 (and awayfrom the battery therein), which switches the battery into an activationmode. Thus, the shelf-life of the pump device 100′ (prior to usage withthe controller device 200) may be extended by sealing the battery in astorage mode because little, if any, energy is dissipated from thebattery when in the storage mode.

As previously described, the guided motion in the longitudinal direction219 provides the user with a convenient “one-movement” process to attachthe pump device 100′ and the controller device 200. For example, theuser can readily slide the pump device 100′ and the controller device200 toward one another in a single movement (e.g., in the longitudinaldirection) that causes both a physical connection and an electricalconnection. Thus, the infusion pump system 10 can permit users toreadily join the pump device 100′ and the controller device 200 withoutcompound or otherwise difficult hand movements—a feature that can bebeneficial to child users or to elderly users.

Referring now to FIG. 15, the controller device 200 (shown in anexploded view) houses a number of components that can be reused with aseries of successive pump devices 100. In particular, the controllerdevice 200 can include control circuitry 240 arranged in the controllerhousing 210 configured to communicate control signals to the drivesystem of the pump device 100. In some embodiments, the controlcircuitry 240 can include a main processor board 242 in communicationwith a power supply board 244. The control circuitry 240 can include atleast one processor 243 that coordinates the electrical communication toand/or from the controller device 200 (e.g., communication between thecontroller device 200 and the pump device 100). The processor 243 can bearranged on the main processor board 242 along with a number of otherelectrical components, such as memory devices. It should be understoodthat, although the main processor board 242 is depicted as a printedcircuit board, the main processor board can have other forms, includingmultiple boards, a flexible circuit substrate, and other configurationsthat permit the processor 243 to operate. The control circuitry 240 canbe programmable, i.e., the user may provide one or more instructions toadjust a number of settings for the operation of the infusion pumpsystem 10. Such settings may be stored in the memory devices arranged inthe control circuitry 240. Furthermore, the control circuitry 240 caninclude one or more dedicated memory devices storing executable softwareinstructions for the processor 243. The control circuitry 240 caninclude other components, such as sensors, that are electricallyconnected to the main processor board 242. For example, at least aportion of the occlusion sensor 250 (not shown in FIG. 15) can beelectrically connected to the main processor board 242 via a flexiblecircuit substrate and/or one or more wires.

Still referring to FIG. 15, the user interface 220 of the controllerdevice 200 can include input components and/or output components, thatare electrically connected to the control circuitry 240. For example,the user interface 220 can include a display device 222 having an activearea that outputs information to a user and four buttons 224 a-d thatreceive input from the user. Here, the display device 222 can be used tocommunicate a number of settings or menu options for the infusion pumpsystem 10. In some embodiments, the control circuitry 240 can receiveinput commands from a user's button selections and thereby cause thedisplay device 222 to output a number of menus or program screens thatshow particular settings and data (e.g., review data that shows themedicine dispensing rate, the total amount of medicine dispensed in agiven time period, the amount of medicine scheduled to be dispensed at aparticular time or date, the approximate amount of medicine remainingthe cartridge 120, the amount of battery life remaining, or the like).As previously described, the controller circuit 240 can be programmableto cause the controller circuit 240 to change any one of a number ofsettings for the infusion pump system 100.

Some embodiments of the control circuitry 240 can include a cableconnector (e.g., a USB connection port or another data cable port) thatis accessible on an external portion of the controller housing 210. Assuch, a cable can be connected to the control circuitry 240 to uploaddata or program settings to the controller circuit or to download datafrom the control circuitry 240. For example, historical data of medicinedelivery can be downloaded from the control circuitry 240 (via the cableconnector) to a computer system of a physician or a user for purposes ofanalysis and program adjustments. Optionally, the data cable can alsoprovide recharging power.

In some embodiments, the pump device 100 can include a first powersource 345 (refer to FIG. 17) capable of transmitting electrical energyto the controller device 200 when the pump device 100 is attached to thecontroller device 200. Such energy transmission is described in moredetail below. In some embodiments, the first power source 345 can bemaintained in a storage mode and then switched to an activation modewhen the pump device 100 is used to dispense medicine. The storage modecan provide a long shelf life of storage for the first power source 345.For example, when in storage mode, the first power source can retain asubstantial portion of its charge for a period of more than six months,more than one year, or more than two years. As shown in FIGS. 11, 13,18, and 19, the first power source 345 can be equipped with a removabletab 141 that seals the first power source 345 to maintain it in thestorage mode. Thus, when the pump device 100 is prepared for usage, theremovable tab 141 can be pulled away from the pump housing 110, whichswitches the first power source into the activation mode. When the firstpower source 345 is switched to the activation mode, the first powersource 345 can dispense electrical energy for a usage period in whichthe pump device is used. For example, in some embodiments, the firstpower source 345 can provide electrical energy to other components(e.g., the second power source 245) over a usage period of about oneweek to about one month (e.g., about two weeks).

The first power source 345 can include a disposable, replaceable, and/ornon-rechargable battery (e.g., a zinc-air cell). The first power source345 can have a large volumetric energy density compared to the secondpower source 245. For example, the first power source 345 can be azinc-air cell battery that has a volumetric energy density of greaterthan about 900 Watt-hours/Liter (Wh/L), about 1000 Wh/L to about 1700Wh/L, and about 1200 Wh/L to about 1600 Wh/L. Also, the zinc-air cellbattery can have a long storage life, as described above. One exemplaryzinc-air cell battery is available from Duracell Corporation of Bethel,Conn., which can provide a potential voltage of about 1.1V to about 1.6V(about 1.2V to about 1.4 V, and about 1.3 V in one embodiment), acurrent output of about 8 mA to about 12 mA (about 10 mA in oneembodiment), and a storage capacity of greater than about 600 mA·h(about 650 mA·h in one embodiment). Although described as beingdisposable and replaceable as being a part of the pump device 100, insome embodiments, the first power source 345 can be individuallyreplaceable from the pump device 100 or from a monolithic infusion pumpsystem.

Referring again to FIG. 15, the control circuitry 240 of the controllerdevice 200 can include a second power source 245, which can be coupledto the power supply board 244 of the control circuitry 240. The secondpower source 245 can be a rechargeable energy source (e.g., a lithiumpolymer battery). The second power source 245 can include a highcurrent-output battery that is capable of discharging a brief currentburst to power, for example, a drive system of the pump device 100 andcan be capable of accepting and storing electrical energy over time(e.g., “trickle charge”). For example, the second power source 245 canbe charged with energy supplied from the first power source 345. Thehard-wired transmission of electrical energy from the second powersource 245 to the drive system 300 can occur through the previouslydescribed connectors 118 and 218 (FIGS. 4-5). The second power source245 can receive electrical energy from a power source housed in the pumpdevice 100 (e.g., the first power source 345), from a plug-in wallcharger, from a cable connector (e.g., a USB connection port that isconnected to the control circuitry 240), or from another charging device(e.g., a charging cradle).

The second power source 245 can include a high current-output devicethat is contained inside the controller housing 210. The second powersource 245 can be charged over a period of time (e.g., by a first powersource 345) and can intermittently deliver high-current bursts to thedrive system 300 over brief moments of time. For example, the secondpower source 245 can include a lithium-polymer battery. The second powersource 245 (e.g., lithium polymer battery) disposed in the controllerdevice 200 can have an initial current output that is greater than thatof the first power source 345 (e.g., zinc-air cell battery) disposed inthe pump device 100, but the first power source 345 can have an energydensity that is greater than the second power source 245 (e.g., thelithium polymer battery disposed in the controller device 200 can have avolumetric energy density of less than about 600 Wh/L). In addition, thesecond power source 245 (e.g., lithium-polymer battery) can be readilyrechargeable, which can permit the first power source 345 disposed inthe pump device 100 to provide electrical energy to the second powersource 245 for purposes of recharging. One exemplary lithium-polymerbattery can provide a initial current output of about greater than 80 mA(about 90 mA to about 110 mA, and about 100 mA in one embodiment) and amaximum potential voltage of about 4.0V to 4.4V (about 4.2 V in someembodiments). In other embodiments, it should be understood that thesecond power source 245 can include a capacitor device capable of beingrecharged over time and intermittently discharging a current burst toactivate the drive system 300. Additional embodiments of the powersource 245 can include a combination of batteries and capacitors.

Accordingly, the infusion pump system 10 can have two power sources 345and 245—one arranged in the disposable pump device 100 and anotherarranged in the reusable controller device 200—which can permit a userto continually operate the controller device 200 without having torecharge a battery via a plug-in wall charger or other cable. Becausethe controller device 200 can be reusable with a number of pump devices100 (e.g., attach the new pump device 100′ after the previous pumpdevice 100 is expended and disposed), the second power source 245 in thecontroller device can be recharged over a period of time, each time whena new pump device 100 is connected thereto. Such a configuration can beadvantageous in those embodiments where the pump device 100 isconfigured to be a disposable, one-time-use device that attaches to areusable controller device 200. For example, in those embodiments, the“disposable” pump devices 100 recharges the second power source 245 inthe “reusable” controller device 200, thereby reducing or possiblyeliminating the need for separate recharging of the controller device200 via a power cord plugged into a wall outlet.

Some embodiments of the controller device 200 can employ a process formaintaining the second power source 245 at or above a threshold chargelevel when the first power source 345 is electrically connected to theinfusion pump system and in a non-depleted state. Based at least in parton this threshold charge level, the infusion pump system can estimate aremaining amount of operation power available to the system. Asdescribed below, the second power source 245 can be maintained above thethreshold charge level by applying charge to the second power source 245when the voltage output of the second power source 245 falls below athreshold voltage output. The threshold voltage level can correspond tothe threshold charge level. For example, a voltage output of 3.65V cancorrespond to a charge level of about 80% of the total capacity of thesecond power source 245, thus by checking the voltage output of thesecond power source 245 at regular intervals (e.g., every 3 minutes),and setting the threshold voltage level at 3.65V, the second powersource 245 can reliably have a charge level above a threshold chargelevel of 79% of the total capacity. By estimating the remaining amountof operational power based at least in part on the threshold chargelevel, the system can avoid the need for test charge circuits, which canfurther drain the second power source.

The controller device 200 can also employ a plurality of techniques(e.g., audio and visual) for notifying the user when an estimatedremaining operational power available to the system 10 falls below oneor more predetermined levels. In addition, the controller device 200 canemploy certain rules to limit the use of certain features of the system10 when an estimated charge level of the power source 245 falls belowone or more predetermined levels or when an estimated amount ofoperation time available to the system falls below one or morepredetermined levels. These rules can limit particular user-controlledfunctions to assure that there is enough remaining charge to safelyoperate pump system 10 and dispense the medicine therefrom. In somecircumstances, these rules implemented by the controller device 200 canshut down the pump system 10 for the purpose of maintaining apredetermined minimal amount of charge (e.g., a reserve charge) in thepower source 245 after the first power source 345 is depleted. Thisreserve charge can be used to maintain, among other things, the internalmemory of the system 10 and the ability of the system 10 to restartbased on the application of a recharging source, such as replacing theexhausted pump device 100 with a new pump device 100′ (FIGS. 11-12) toprovide a new, fully charged first power source 345.

Referring again to FIG. 15, the pump system 10 can include chargercontroller 247, which can be disposed in the controller device 200. Thecharger controller 247 can serve as a gatekeeper to operate the chargingand discharging of the second power source 245. For example, the chargercontroller 247 can cause the second power source 245 to output power tothe drive system 300, to receive recharging power from the first powersource 345, or both. In this embodiment, the charger controller 247 canactivate a charging circuit 248 to provide the recharging power. Thecharging circuit 248 can modify the recharging power from the firstpower source 345 so as to provide a constant current (e.g., 2.4 mA) tothe second power source 245. The charging circuit 248 can be activatedto recharge the second power source 245 when the remaining charge in thesecond power source 245 falls below a lower charge level trigger (e.g.,80% of total capacity) to maintain the second power source 245 at acharge above a threshold charge level (e.g., 79% of total capacity), andthe charging circuit 248 can be deactivated to thereby discontinuerecharging when the remaining charge in the second power source 245rises to nearly 100% of total capacity (e.g., about 98% of totalcapacity). It is noted that various charge level triggers can be used tomaintain the charge of the second power source 245 above a thresholdcharge level used to determine an estimated amount of operation powerremaining for the system once the first power source 345 is depleted ordisconnected from the system or pump device 100.

In some embodiments, the charger controller 247 can be responsible formonitoring the system 10 power and energy usage and determining thecharge remaining in the power source 245. The charge remaining in thesecond power source 245 can be estimated based on the current outputvoltage of the second power source 245. An exemplary lithium-polymerbattery may have a 4V output voltage which corresponds to a 100% chargelevel (e.g., the second power source 245 contains 100% of its totalcharge capacity), while the same lithium-polymer battery producing a3.65V output voltage may correspond to an 80% charge level (e.g., thesecond power source 245 contains 80% of its total charge).

In some embodiments, the charger controller 247 can estimate the totalenergy consumed by the system 10 during a given period of time. In oneexample, the charger controller 247 can contain predetermined estimatesof the amount of power used by specific features (e.g., the drive system300, the illumination instrument 230, and the like). As the features areutilized, the charger controller 247 can keep a record of when and howlong these features are used. To estimate the total energy used, thecharger controller 247 can multiply the estimated power usage for eachfeature by the amount of time a particular feature was used. In someembodiments, the charger controller 247 can include a timer which canperform a count up/down beginning with initiation of the timer. Forexample, the charger controller 247 can start a timer at thirty minutesand count down to zero. In other situations, the charger controller 247can start a timer at zero and count up.

Referring to FIG. 16, some embodiments of pump system 10 has eight powerstates that are defined by the first power source 345 and the secondpower source 245. The “Normal” state can occur when the rechargeablepower source 245 is in a fully charged state and requires no charging.In some embodiments, a fully charged state is determined to be when thetotal charge in the second power source 245 is greater than a thresholdcharge level (e.g., 79% of the total charge capacity of the second powersource 245). Some charge levels can be estimated by the voltage outputof the second power source 245 (e.g., the 80% charge level cancorrespond to the lithium polymer battery 245 having an output voltageof 3.65 V), which can allow the controller to keep the charge level ofthe second power source 245 above a threshold charge level (e.g., 79%).When the system 10 is in the “Normal” state, all functions and circuitsof the system 10 (e.g., pump device 100, drive system 300, userinterface 220, illumination instrument 230, and the like) can beavailable to the user. Additionally, since the power source 245 isadequately charged, no charging is required (e.g., from the first powersource 345).

In some embodiments, the second power source 245 can discharge energyduring operation of the pump system 10, leading to a lowered outputvoltage of the power source 245. In some embodiments, the chargercontroller 247 can monitor the charge remaining in the power source 245by determining the voltage of the second power source 245 at selectedintervals (e.g., about 1 minutes to about 10 minutes, about 2 minutes toabout 5 minutes, and in this embodiment about every 3 minutes). Theselected interval can determine the relationship between the thresholdcharge level used to estimate a remaining amount of operational poweravailable and charge levels used to trigger the charging of the secondpower source 245 with energy from the first power source 345. At such atime when the output voltage of the second power source 245 falls belowa threshold voltage output (e.g., 80% of the total charge capacity orabout 3.65 V in this embodiment), the charger controller 247 cantransition the system 10 to the “Normal Charging” state. For example, ifthe controller determines a voltage output every minute, when a voltageof less than 3.65V triggers the recharging of the second power source245, then this can correspond to a threshold charge level of about 79.5%of total capacity that would be used to determine the remaining amountof operation power. In other examples, a voltage detection interval of10 minutes, with a voltage of less than 3.65V triggering the rechargingof the second power source 245, can correspond to a threshold chargelevel of about 78%.

As shown in FIG. 16, when in the “Normal Charging” state, the controllerdevice 200 operates to determine the ability of the system 10 to chargethe power source 245. For example, in this embodiment, the chargercontroller 247 can determine the charge remaining in the first powersource 345. If the first power source 345 is capable of supplying energyto the second power source 245 (e.g., if the Zinc-Air battery in thisembodiment has a voltage greater than 0.6 V), then the second powersource 245 can be charged from the first power source 345. A voltageoutput of first power source 345 can indicate whether the first powersource 345 is in a depleted or non-depleted state (e.g., a voltageoutput above 0.6 V can indicate a non-depleted zinc-air battery, which avoltage output of below 0.6 V can indicate a depleted zinc-air battery).Charging of the second power source 245 from the first power source 345can continue until a predetermined condition occurs. For example, thesecond power source 245 can receive energy until it reaches a uppercharge level (e.g., 98% of the total charge capacity of the second powersource 245). In some embodiments, the current level of charge can beestimated by the voltage output of the second power source 245 (e.g.,98% of total charge capacity can correspond to the lithium polymerbattery having an output voltage of 3.92 V in this embodiment). As shownin FIG. 16, when the second power source 245 reaches a upper voltageoutput trigger (e.g., 98% of total charge capacity or 3.92 V in thisembodiment), the controller 247 can transition the system 10 to the“Normal” state.

In some circumstances, the charging of the second power source 245 cancontinue until such a time as the first power source 345 becomesdepleted (e.g., the Zinc-Air battery in this embodiment falls below apredetermined voltage, such as 0.6 V). Although a depleted first powersource 345 may retain some charge, the remaining charge is notsufficient to continue to efficiently and significantly charge thesecond power source 245 (e.g., a voltage output of 0.6 V for a zinc-airbattery indicates that the zinc-air cell only retains a very smallpercentage of its initial charge and/or is unable to efficientlyrecharge the first power source 245, and is therefore depleted). Whenthe voltage output of the first power source 345 indicates that thefirst power source 345 is depleted, the system 10 can be transferred toa “Reserve T-12 Hr” state, which can indicate that the first powersource 345 is depleted and that the pump system 10 can be operated withthe remaining power of the second power source 245. In some embodiments,the system can be configured such that once the first power source 345has been depleted, the second power source 245 can supply full power tothe system 10 for at least a predetermined amount of time. As shown, thepredetermined amount of time is about 12 hours. In other embodiments,the predetermined amount of time can about 4 hours or greater, about 8hours to about 24 hours, or about 12 hours or greater. The predeterminedamount of time (e.g., 12 hours in this embodiment) can be based on thetotal energy in the second power source 245 when the second power source245 is at the threshold charge level (e.g., the total energy at 79% ofcapacity) and an estimate of high battery usage of a user. In someembodiments, when the system 10 is in the “Reserve T-12 Hr” state, allfunctions and circuits of the system 10 (e.g., pump device 100, drivesystem 300, user interface 220, illumination instrument 230, and thelike) can be available to the user. In other embodiments, the controllerdevice 200 may operate to restrict some high-energy features (e.g., theillumination instrument 230).

As previously described, the remaining time can be estimated from, amongother factors, the threshold charge level of the second power source 245without the need for additional circuitry for sampling battery charge oralgorithms for estimating remaining power based on output voltage. Formany types of batteries, including some lithium polymer batteries, anestimation of charge level from the voltage output of the battery mayonly be accurate when the battery has a charge level near total capacityor a charge level when the battery is nearly depleted. Maintaining thesecond power source 245 at a charge level above the threshold chargelevel while the first power source 345 is in a non-depleted state canensure that the second power source 245 has at least the thresholdcharge remaining at the time when the first power source 345 enters adepleted state. Furthermore, the threshold charge level can be selectedto ensure that an algorithm using the voltage output can accuratelypredict the charge level of the second power source 245.

In some embodiments, the threshold charge level can correspond to anamount of medicine dispensing time based on a high power consumptionestimate (e.g., usage of the pump system 10 in a manner that consumespower at a higher than normal rate). For example, the threshold chargelevel can be set on a second power source 245 of sufficient capacity toensure at least 12 hours of medicine dispensing time remaining once thefirst power source 345 becomes depleted. In some embodiments, a timer inthe control circuitry 240 (FIG. 15) can begin at 12 hours once the firstpower source 345 is depleted and count down towards zero. Once the timerreaches zero, the system 10 can be, for example, transitioned intoanother state. Such embodiments do not necessarily require additionalcharge-detecting circuitry that would draw upon the remaining power inorder to determine when the system 10 is running low on power.

In another example, an initial estimate of time (e.g., 12 hours) can bemade, but updated based on, for example, the total energy remaining inthe second power source 245 at the threshold charge level minus a safetyfactor and the usage since transitioning to the “Reserve T-12 Hr” stage.In some embodiments, this usage can be an estimate based on the totalusage of the drive system 300, the total usage (e.g., in seconds) of theuser interface 220, and/or the total usage (e.g., in seconds) of theillumination instrument 230. For example, if the total usable energy(total power at the threshold charge level minus safety factor) of afully charged power source 245 is estimated to be 20 mAh, the system 10has been in the “Reserve T-12 Hr” state for 2 hours, and the estimatedusage during that time was 2.50 mAh, then the estimated time remainingcan be determined to be 14 hours ((20−2.5) mAh*(2 h/2.5 mAh)). Inanother example, if a total usable charge (total power at the thresholdcharge level minus safety factor) of a fully charged power source 245 isestimated to be 20 mAh, the system 10 has been in the “Reserve T-12 Hr”state for 1 hour, and the estimated usage during that time is 2 mAh,then the estimated time remaining can be 9 hours ((20−2) mAh*(1 h/2mAh)).

When the system 10 is in the “Reserve T-12 Hr” state, there can be arelatively limited amount of time (e.g., 12 hours) remaining where allfeatures of the system 10 are available to the user. Due to thisrelatively limited amount of time, it can be advantageous to alert theuser, notifying him/her that steps should be taken to ensure theuninterrupted use of the system 10. This notification, in someembodiments, could include an alert message displayed on the displaydevice 222 indicating that the user only has a certain amount of timeremaining (e.g., as shown in FIG. 1). In some embodiments, thenotification could also suggest that the user connect the pump system 10to an external power source, such as an outlet, or have a replacementpump device available. The alert can be constant or intermittent. Thealert could instead be an audible alert or an sound could be used incombination with a visual alert. The alert could also alternate with thevisual contents of the display device 222 (e.g., as shown in FIG. 2).Additional forms of notification could include a light (e.g., theillumination device 230) that flashes, an audible beep that occurs, abacklight or display that flashes and/or changes color, for exampleevery half hour or every hour, to alert the user to check the displaydevice 222 for the alert message. In some embodiments, the backlight ordisplay could change color when the system enters the “Reserve T-12 Hr”state (e.g., from green when the first power source 345 is connected andnon-depleted to red when the first power source 345 is depleted ordisconnected).

Still referring to FIG. 16, when in the “Reserve T-12 Hr” state, allfunctions and circuits of the system 10 (e.g., pump device 100, drivesystem 300, user interface 220, illumination instrument 230, and thelike) can be available to the user. Various events or conditions canoccur that can cause the system 10 to transition out of the “ReserveT-12 Hr” state. One condition can occur when, for example, the existingpump device 100 is replaced with a new pump device 100′ including afully charged first power source 345 (FIGS. 11-12). When a fully chargedfirst power source 345, or at least non-depleted first power source(e.g., a Zinc-air cell having a voltage output of greater than 0.6 V),is detected by the control circuitry 240, the system 10 can transitioninto the “Normal Charging” state. In some embodiments, the system cancheck the voltage output of the first power source 345 when a pumpdevice is attached or reattached to the controller device. In someembodiments, the controller device 200 can store information indicatingthat the first power source 345 for a particular pump device 100 isdepleted to prevent the need to further check whether the first powersource 345 is depleted or non-depleted. Another transition condition canoccur when the control circuitry 240 determines that there is only 30minutes of battery life remaining in the power source 245 (e.g., by acountdown timer, an estimate of remaining charge based on usage while inthe “Reserve T-12 Hr” state, or the like), at which time the system 10can transition into the “Reserve T-30” state.

When in the “Reserve T-30” state, all functions and circuits of thesystem 10 (e.g., pump device 100, drive system 300, user interface 220,illumination instrument 230, and the like) can be available to the user.However, in some embodiments, certain features may become unavailable tothe user when in the “Reserve T-30” state. At the time when the system10 transitions into the “Reserve T-30” state, a 30 minute countdowntimer can be initiated and the user can be alerted via the displaydevice 222 (e.g., an alert message indicating the number of minutesremaining) and an intermittent audible beep, until acknowledged (e.g.,by pressing one of the user-selectable buttons). The alert can alsodirect the user to supply an additional power by, for example, replacingthe pump device 100 or by plugging the pump system 10 into an outlet.The system 10 can remain in this state until a condition occurs thatcauses the system 10 to transition to a different state. For example,the system 10 can transition to a different state when the existing pumpdevice 100 is replaced with a new pump device 100′ with a fully charged,or at least non-depleted, first power source 345 (FIGS. 11-12). When anon-depleted first power source 345 is detected by the control circuitry240, the system 10 can transition into the “Normal Charging” state. Thesystem 10 can transition to a different state when the control circuitry240 determines that there is only 3 minutes of battery life remaining inthe power source 245 (e.g., the countdown timer started in the “ReserveT-30” state reaches 3 minutes), at which time the system 10 cantransition into the “Reserve T-3” state.

Still referring to FIG. 16, at the time when the system 10 transitionsinto the “Reserve T-3” state, the countdown timer started in the“Reserve T-30” state can continue and the user can be alerted via thedisplay device 222 (e.g., a flashing message indicating the number ofminutes and seconds remaining) and/or an audible alarm (e.g., a constantaudible beep), until acknowledged (e.g., by pressing one of theuser-selectable buttons). While in the “Reserve T-3” state, allfunctions and circuits of the system 10 (e.g., pump device 100, drivesystem 300, user interface 220, illumination instrument 230, and thelike) can be available to the user, but for less than 3 minutes. Thesystem 10 can remain in this state until a condition occurs that causesthe system 10 to transition to a different state. For example, thesystem can transition to a different state when the existing pump device100 is replaced with a new pump device 100′ (FIGS. 11-12) with a fullycharged, or at least non-depleted, first power source 345. When anon-depleted power source 345 is detected by the control circuitry 240,the system 10 can transition into the “Normal Charging” state. Thesystem 10 can transition to a different state when the control circuitry240 determines that there is little or no battery life remaining in thepower source 245 (e.g., the countdown timer started in the “ReserveT-30” state reaches zero), at which time the system 10 can transitioninto the “Reserve” state.

The system 10 can transition into the “Reserve” state when the countdowntimer reaches zero, indicating that there is no longer enough totalpower to both safely operate the system 10 and to maintain the system 10in the “Reserve” state for a predetermined period of reserve time (e.g.,about 1 day to about 7 days, and about 4 days in this embodiment). Insome embodiments, while in the “Reserve” state, the controller device200 can restrict usage of features such as the drive system 300 and theillumination instrument 230 due to power issues, but other features suchas the display device 222 can remain available to the user (e.g.,allowing the user to review the status and logbook screens).

The controller device 200 can maintain the system 10 in the “Reserve”state for a particular amount of reserve time (e.g., about 1 day toabout 7 days, and about 4 days in this embodiment) before transitioningthe system 10 to the “Low” state. In some embodiments, while in thereserve state, no pump or user functions are allowed. For example, inresponse to a user pressing any of the user-selectable buttons, thesystem 10 can return a message (e.g., “Off—No Power, Pump Stopped”) onthe display device 222, while not performing the task usually associatedwith the button that was pressed. The system 10 can remain in this stateuntil a condition occurs that causes the system 10 to transition to adifferent state. For example, the system 10 can transition to adifferent state when the existing pump device 100 is replaced with a newpump device 100′ with a fully charged first power source 345 (FIGS.11-12). When a fully charged, or non-depleted, first power source 345 isdetected by the control circuitry 240, the system 10 can transition intothe “Normal Charging” state. The system 10 can transition to a differentstate after a predetermined amount of time (e.g., 4 days) or when thecontrol circuitry 240 determines that the voltage in the power source245 has fallen below a predetermined minimum (e.g., 3.1 V), at whichtime the system 10 can transition into the “Low” state.

Still referring to FIG. 16, the system 10 can transition into the “Low”or “Deep Sleep” state when the power source 245 is almost completelydepleted (e.g., after 4 days in the “Reserve” state or when the voltageof the power source 245 falls below 3.1 V). For example, while in thisstate, many features of the system 10 can be unavailable to the user(e.g., the drive system 300, and/or reviewing the logbook screen). Insome embodiments, the only event that causes a response is the insertionof a new pump body with a charged power source 345 at which time thesystem 10 transitions into the “Low Charging” state. Due to the lowpower consumption of the “Low” state, the system 10 can remain in thisstate for an extended (e.g., 2 week) period of time. For example, alithium polymer battery can have a protection circuit that disconnectsthe lithium polymer battery when the voltage output falls below apredetermined level (e.g., 2.3 V).

In some embodiments, once in the “Low Charging” state, the user can benotified (e.g., with a “Charging” message on the display device 222) anda timer is initiated (e.g., beginning at zero and counting up). Forexample, while in the “Low Charging” state, many features of the system10 can be unavailable to the user (e.g., the drive system 300, and/orthe illumination device 230). In some embodiments, the system can be inthe “Low Charging” state for between 30 minutes and 2 hours before thefirst power source 245 has sufficient charge allow for return to the“Normal Charging” state and thus normal operation. In some embodiment, atimer can begin once a non-depleted first power source 345 is detectedand the system returned to “Normal Charging” when the timer reaches 120minutes, indicating that a sufficient charge is present in the powersource 245, the system 10 transitions to the “Normal Charging” state.

While eight power states of the system 10 were described herein, therecan exist other power states not depicted in FIG. 16. In someembodiments, a ninth power state (e.g., “External Charging”) can exist.The system 10 can transition to this state when connected to an externalcharging apparatus (e.g., when the system 10 is connected to a chargingcradle, plugged into a wall outlet, or connected to a computer via a USBcable). While connected to the external charging apparatus, thecontroller 247 may disable the charging circuit 248, allowing chargingof the second power source 245 to be managed by the external chargingdevice. In some embodiments, the controller 247 can manage the chargingof the second power source 245 from an external apparatus either throughthe use of the charging circuit 248, or through an additional chargingcircuit dedicated for use with an external charging apparatus.

Referring now to FIGS. 17-19, the pump device 100 can include the drivesystem 300 that is controlled by the removable controller device 200(FIGS. 1-5). Accordingly, the drive system 300 can accurately andincrementally dispense fluid from the pump device 100 in a controlledmanner. The drive system 300 can include a flexible piston rod 370 thatcan be incrementally advanced toward the medicine cartridge 120 so as todispense the medicine from the pump device 100. At least a portion ofthe drive system 300 can be mounted, to the pump housing 110. In someembodiments, the pump housing 110 can include a chassis 107, a shellportion 108, and a cover mount 109. The shell portion 108 can be used tocover at least a portion of the drive system 300. For example, the shell108 can include an inner curved surface against which a curved sectionof a piston rod 370 rests. The cover mount 109 may be assembled to thechassis 107 of the pump housing 110 to secure some components of thedrive system 300 in position between the cover mount 109 and the chassis107. When the cover mount 109 is assembled into place, the “unused” orretracted portion of the piston rod 370 can rest in a channel defined inthe top of the cover mount 109. The shell portion 108 can slide over thecover mount 109 and join with the chassis 107 to form the assembled pumphousing 110.

Some embodiments of the drive system 300 can include a battery poweredactuator (e.g., reversible motor 320 or the like) that resets a ratchetmechanism 330, a spring device 350 (FIG. 20) that provides the drivingforce to the ratchet mechanism 330, and a drive wheel 360 that isrotated by the ratchet mechanism 330 to advance the flexible piston rod370 toward the medicine cartridge 120. The operation of the drive system300 is described in more detail below in connection with FIGS. 20-23.

As shown in FIGS. 18-19, the pump device 100 can include one or moremotion detectors coupled with the drive system 300 to provide feedbackregarding the operation of the drive system 300. For example, the pumpdevice 100 can include a first motion detector 302 configured as a limitswitch that detects when a portion of the ratchet mechanism has reachedthe limit of its travel and must thereafter stop movement or reversedirection. The operation of the limit switch 302 is described in moredetail below in connection with FIGS. 20-23. In another example, thepump device 100 can include a second motion detector 307 in the form ofa mechanical error switch that indicates whether components of the drivesystem 300 completed the desired motion for each drive cycle. Theoperation of the mechanical error switch 307 is described in more detailbelow in connection with FIGS. 20-23.

Referring to FIGS. 18-19, the pump device 100 can include a connectorcircuit 310 to facilitate the transfer of signals to and from theelectrical connector 118. As previously described, the electricalconnector 118 of the pump device 100 can mate with the connector 218(FIG. 4) of the controller device 200 so that electrical communicationcan occur between the pump device 100 and the controller device 200. Theconnector circuit 310 can include a generally non-complex circuit 310that does not include a processor or other relatively high-costcomponents. In some embodiments, the connector circuit 310 can operateas a passageway for the control signals (from the control circuitry 240(FIG. 15) of the controller device 200) to transmit to the drive system300 (e.g., to the actuator 320). For example, the reversible motor 320may be connected to the connector circuit 310 via one or more wires 304.The connector circuit 310 can also operate as a passageway for theelectrical power from the first battery 345 (FIG. 19) to pass to thecontroller device 200 for recharging of the second battery 245 (FIG.15). For example, the first battery 345 can be connected to theconnector circuit 310 via one or more power contacts 305. Furthermore,the connector circuit 310 can operate as a passageway for feedbacksignals (e.g., from the motion detectors 302 and 307) to transmit to thecontrol circuitry 240 (FIG. 15) of the controller device 200. Forexample, the limit switch 302 can be connected to the connector circuit310 via one or more wires 306 (the one or more wires connecting themechanical error switch 307 to the connector circuit 310 are not shownin FIGS. 18-19).

The connector circuit 310 in the pump device 100 can include a memorydevice 318 that can store data regarding the pump device 100 and itsoperational history. For example, the memory device 318 of the connectorcircuit 310 can include a flash memory chip that is configured to storedata such as: a unique serial number designated for the pump device 100,a manufacturer identifier code, and a drive cycle counter. The uniqueserial number designated for the pump device 100 and the manufactureridentifier code may be useful pieces of quality control information thatremains with the pump device 100 throughout its shelf-life andoperational life. If, for example, a manufacturing error is identifiedfor a particular pump device 100, the unique serial number and themanufacturer identifier code (e.g., a lot code) can be used to promptlyidentify the manufacturing location and/or manufacturing lot.

Because the flexible piston rod 370 can be adjustable from a curvedshape to a noncurved shape, the overall length of the pump device can bereduced in some embodiments. For example, in a typical infusion pumpthat houses a straight and rigid rod, the typical infusion pump requiresa package or housing having a linear dimension sufficient to accommodatethe length of the rigid piston rod when it is at its limit of travel inwhich it is fully withdrawn from the container or cylinder. The pumpdevice 100 incorporating the flexible piston rod 370 can require lessspace than a similar device that houses a non-flexible, rigid rod.

Referring now in more detail to the components of the drive system 300depicted in FIGS. 20-23, the electrically powered actuator can be in theform of the motor 320 having a rotatable output shaft 321. In someembodiments, the motor 320 can be reversible; it can receive signalsthat cause the output shaft 321 to rotate in a first rotationaldirection or in a second, opposite rotational direction. One example ofa suitable motor 320 is a coreless DC motor with reversible rotationcapabilities. As previously described, the operation of the motor 320can be controlled by the removable controller device 200 (FIGS. 1-5) viaelectrical signals communicated through the mating electrical connectors118 and 218 (FIGS. 4-5).

Still referring to FIGS. 20-23, a gear system 322 can be coupled to themotor 320 so that actuation by the motor 320 causes a pusher arm 325 toact upon the ratchet mechanism 330 or to decouple from the ratchetmechanism 330. In some embodiments, the gear system 322 can include aworm gear 323 and a gear reduction assembly comprising spur gears 324 a,324 b, and 324 c. As described in more detail below, one of the spurgears (e.g., segmented gear 324 c) can engage the limit switch 302 whenit reaches the opposite ends of its reciprocating motion, therebyindicating that the motor 320 should reverse its rotational direction orstop rotating.

The pusher arm 325 can be pivotably coupled to the gear 324 c so thatpartial rotation of the gear 324 c causes the pusher arm to reciprocatewithin a guide slot 328. The guide slot 328 can be formed in the body ofthe chassis 307 (FIGS. 17-19) of the pump housing. The pusher arm 325can have a slider pin 326 that fits into the guide slot 328 arereciprocates therein.

Accordingly, rotation of the motor 320 in a first direction can betranslated into an advancement force to the pusher arm 325. Theadvancement force on the pusher arm 325 is applied to a pawl member 335,which (in some embodiments) causes the pawl member 335 to pivot to areset position. In addition, rotation of the motor 320 in a seconddirection can be translated into an retraction force to the pusher arm325, which can cause the pusher arm 325 to be separated from the pawlmember 335 during the drive step (refer to FIG. 23). As such, the motor320, the gear system 322, and the pusher arm 325 can collectivelyoperate as an actuator assembly that provides a reliable and consistentadjustment of the ratchet mechanism 330 during a reset step (refer toFIG. 22). Moreover, this actuator assembly (e.g., the motor 320, thegear system 322, and the pusher arm 325) can be activated to separatefrom the pawl member 335, thereby permitting the motor 320 to decouplefrom the ratchet mechanism 330 during a drive step (refer to FIG. 23).

Referring to FIG. 20, the motion path of the pusher arm 325 can beconfigured to provide an efficient mechanical advantage orientationduring the desired motion of the adjustable pawl member 335. In someembodiments, the pusher arm 325 can be directed by the guide slot 328formed in an interior surface of the pump housing 110. The pusher arm325 can include the slider pin 326 that is received within the guideslot 328 during assembly of the pump device 100. The portion of thepusher arm 325 proximate the slider pin 326 can abut against the pawlmember 335 when the pusher arm 325 is advanced. As such, when a firstend of the pusher arm 325 is moved by the gear 324 c, a second end ofthe pusher arm (proximate the slider pin 326) can be directed by theguide slot 328. The orientation of the pusher arm 325 relative to theguide slot 328 can be configured to provide an efficient mechanicaladvantage for the pushing force applied by the pusher arm 325 during thedesired motion of the adjustable pawl member 335.

Still referring to FIG. 20, the ratchet mechanism 330 can include thepawl member 335 and a ratchet body 340, which, in the embodiment shown,is a ratchet wheel having a number of teeth along its circumferentialsurface. In some embodiments, the ratchet wheel 340 can be coupled witha worm gear 344, and incremental rotation of the ratchet wheel 340 cancause rotation of a drive wheel 360 (due to engagement with the wormgear 344). The pawl member 335 can be adjustable between a resetposition (refer to FIG. 22) and a forward position (refer to FIG. 23).For example, during the reset step, the motor 320 can be activated toadvance the pusher arm 325 (guided by the guide slot 328), and thepusher arm 325 can apply a pushing force that adjusts the pawl member335 to the reset position in which the pawl member 335 grabs a new toothof the ratchet wheel 340 (refer to FIG. 22). In some embodiments, theadjustable pawl member 335 can be pivotably coupled to about the axis ofrotation for the ratchet wheel 340 and the worm gear 344.

A spring device 350 can be coupled to the pawl member 335 so as to urgethe pawl member 335 toward the forward position (refer to FIG. 23). Insome embodiments, the spring device 350 can be in the form of a coilspring that is fixed to the pump housing 110 (not shown in FIGS. 20-23)at a first end portion 352 and that is engaged with the pawl member 335at a second end portion 354. Thus, as shown in FIG. 22, when the pawlmember 335 is adjusted to the reset position, the spring device 350 isin tension and stores potential energy that urges the pawl member 335 toreturn to the forward position (refer to FIG. 23) and thereby drive theratchet wheel 340 in a forward rotational direction.

In some embodiments, a locking pawl 342 can be used to prevent theratchet wheel 340 from reverse motion. The locking pawl 342 can flex orotherwise adjust to permit the incremental forward rotation of theratchet wheel 340. As such, the adjustable pawl member 335 can adjustfrom the forward position to the reset position to engage a new tooth ofthe ratchet wheel 340 while the ratchet wheel 340 remains in positiondue to the locking pawl 342.

Still referring to FIG. 20, in some embodiments, the ratchet wheel 340can be integrally formed with the worm gear 344 so that the incrementalrotation of the ratchet wheel 340 is translated to the worm gear 344.Such rotation of the worm gear 344 can cause rotation of the drive wheel360. The drive wheel 360 can include a central aperture having aninternal thread pattern therein (not shown in FIG. 20), which mates isan external thread pattern 374 on the rod segments 372. Thus, theincremental motion provided by the ratchet mechanism 330, the pusher arm325, and the motor 320 can cause the drive wheel 360 to incrementallyrotate, which in turn translates to a longitudinal advancement of theflexible piston rod 370.

Accordingly, in some embodiments, the piston rod 370 can undergo onlyforward or positive longitudinal displacement as a result of drivesystem 300. For example, the drive system 300 can substantially hinderthe piston rod 370 from retracting or “backing up” in response to fluidpressure in the medicine cartridge 120 or other reversal forces. In suchcircumstances, the flexible piston rod 370 can be retracted only uponmanual disassembly of the pump device 100 (e.g., to disengage the drivegear 360 or the ratchet mechanism 330). In those embodiments in whichthe pump device 100 is intended to be disposable and non-reusable, thenon-retractable piston rod configuration can facilitate a “one time use”disposable pump device by hindering attempts to insert a new medicinecartridge 120 in a previously used pump device 100. Such a configurationcan thereby reducing the likelihood of failure due to non-intendedrepeated use of the disposable pump device 100.

Referring again to FIGS. 20-21, the pump device can include two or moremotion detectors 302 and 307. The first motion detector 302 can includea limit switch that is activated when the segmented gear 324 c of thegear system 320 reaches the ends of its reciprocating travel path. Thesecond motion detector 307 can include a mechanical error switch that isactivated when the worm gear 344 is incrementally rotated with eachdrive cycle. For example, as shown in FIG. 21, mechanical error switch307 can include a first arm 308 a that is arranged adjacent to a secondarm 308 b. The first arm 308 a can have a longer length so that it canbe engaged by the threads of the worm gear 344. Accordingly, when thedrive system 300 operates to incrementally rotate the worm gear 344, thefirst arm 308 a can be temporarily flexed into contact with the secondarm 308 b. This temporary contact can signal to the controller device200 that the ratchet mechanism 330 and spring 350 successfullytranslated the drive energy to rotate the worm gear 344 (which rotatesthe drive gear 360 and thereby advances the piston rod 370).

As described in greater detail previously in connection with FIGS.20-23, the drive system 300 can include the reversible motor 320 whichoperates a gear system 322 that can cause a pusher arm 325 to act upon aratchet mechanism 330 and a spring device 350. When rotating in onedirection, the motor 322 (acting through components such as the gearsystem 322, the pusher arm 325, the ratchet mechanism 330, and the like)can encourage extension and thus store potential energy in the springdevice 350, causing the ratchet mechanism to advance to or “grab” a newtooth on the ratchet body 340. When the motor 322 reverses direction itcan decouple (described previously in greater detail in connection withFIG. 23) from components such as the spring device 350 and the ratchetmechanism 330. Once decoupled, the potential energy in the spring device350 can be utilized to rotate the ratchet body 340, thus causing theplunger engagement device 375 to advance, which in turn can causemedicine to be infused.

Referring to FIG. 24, some embodiments of the infusion pump system 10can include a pulse width modulation (PWM) controller 243, described inmore detail below, for regulating the power to the drive system 300. Forexample, the drive system 300 can define an energy requirement profileto perform a medicine dispensing operation (e.g., a torque profile). ThePWM controller 243 can supply pulses of energy (voltage), of varyingwidths, to provide an energy profile that correlates to an energyrequirement profile (e.g., a torque profile) of the drive system 300. Assuch, the electrical power drawn from the battery 245 to activate thedrive system 300 can be regulated by the PWM controller 243 so as toavoid delivery of substantially more power than is necessary.

In one example, the energy requirement profile can be developed tooptimize a plurality of variables, such as power consumption, gear RPM,and the like. The PMW controller 243 can be configured to provide apattern of voltage pulses from the second power source 245 (e.g., thelithium polymer battery) to the drive system 300. As described in moredetail below in connection with FIG. 28, this pattern of voltage pulsescontrolled by the PWM controller 243 can be correlated to the energyrequirement profile (e.g., the torque profile) of the drive system 300.In some embodiments, the torque profile can be developed to maintain themotor 320 at a substantially constant rate of rotation, in spite ofchanging torque demands on the motor 320 (e.g., from the drive system300). Maintaining the motor 320 at a substantially constant rate ofrotation can have the advantageous qualities of reducing powerconsumption, reducing vibration, increasing the life of the motor 320,or a combination thereof.

Still referring to FIG. 24, the controller device 200 can house the PWMcontroller 243 so that it is electrically connected to the second powersource 245. The PWM controller 243 can deliver regulated pulses ofvoltage (e.g., at the voltage supplied by the second power source 245)to the motor 320 of the drive system 300 (FIGS. 17-23). In someembodiments, the motor 320 itself can serve as a passive filter,effectively smoothing out the voltage pulses from the PWM controller243, without the need for further passive filtering. In alternativeembodiments, one or more passive filtering elements can be added tosmooth out the pulses from the PWM controller 243.

FIG. 25 depicts an example of an optimized torque curve 400 for thedrive system 300. This torque curve can represent the torque that isestimated to maintain a constant RPM of the motor 320 when rotating in afirst rotational direction that advances the pusher arm 325 to pushagainst the pawl member 335 (refer to FIG. 22). Such movement of thepusher arm 325 can cause a pushing force 327 to overcome the bias of thespring device 350 and can adjust the pawl member 335 toward the resetposition. This torque curve 400 can be a sum of, for example, the torquecurve 402 associated with initial motor 320 startup (refer to FIG. 26A),the torque curve 404 associated with the no load torque of the motor 320(the torque required to turn the unladen motor) as depicted in FIG. 26B,the torque curve 406 associated with the torque required to elongate thespring device 350 (refer to FIG. 26C), and/or the torque curve 408depicted in FIG. 26D that is associated with the mechanical advantagethat is achieved due to the connection of the pusher arm 325 to a gear(e.g., the spur gear 325 c). While the torque curve 400 here isdescribed as a sum of other torque curves, the torque curve 400 could bedetermined from empirical data, for example by testing one or more pumpdevices 100 to determine the actual torque at any given time in a pumpcycle required to keep the rate of rotation of the motor 320substantially constant.

Different pump devices 100 can have different energy requirementprofiles (e.g., different torque curves). For example, some pump devices100 can be actuated by advancing a screw in one direction, which wouldhave a different energy requirement profile than the pump device 300shown in FIGS. 17-23. In some embodiments, a tachometer can be used todetermine an optimum PWM profile for a particular pump device. Inembodiments having a brush DC motor, motor commutation can be used as atachometer surrogate. With a brushless motor the commutation signals arealready in digital form and these digital signals can be used as atachometer signal by measuring their frequency and/or period. It mayalso be possible to use the actuation period of the drive (intervalbetween limit switch actuations) to provide feedback to the PWMcontroller to optimize the profile. For example, a PWM profile thatprovides more power than necessary will result in a faster actuationtime, while a PWM profile that fails to provide the optimal amount ofpower can result in a sluggish actuation or even fail to start theactuation process.

In some embodiments of the infusion pump system 10, the controllerdevice 200 can supply a variable voltage to the motor 320 to achieve apre-determined torque curve (e.g., the continuous torque curve 400 shownin FIG. 25) using a digital-to-analog (D/A) converter and a poweramplifier. In other embodiments, the system 10 can use a series ofpulses, all at the full output voltage (e.g., a PWM system) to simulatea continuous torque curve (e.g., torque curve 400) without the need fora D/A converter or power amplifier and without the power loss associatedwith these components. One exemplary series of PWM pulses is depicted bya PWM torque curve 410 in FIG. 27. Referring to FIG. 28, the continuoustorque curve 400 has been superimposed on the PWM torque curve 410. Whenthe torque demands on the motor 320 are low, the width of the deliveredpulses is decreased (as in pulses 412). As the torque demands on themotor increase, the width of the delivered pulses is increased (as inpulses 414).

Referring to FIG. 29A-B, a PWM system can work by supplyingintermittent, full-voltage, pulses of energy to supply a given amount ofenergy to a device (e.g., the motor 320) during a period of time. Forexample, an exemplary motor can be capable of delivering 8milliNewton*meters with a supply voltage of 4V at 1000 RPM. If, whenunder load, 2 milliNewton*meters is required to maintain the motor at1000 RPM for 1 millisecond (as depicted by a continuous torque curve 420in FIG. 29A), an attached 4 volt system could be “stepped down” using aD/A converter and power amplifier to a voltage (e.g., 1 volt) thatsupplies a constant 2 mN*m of torque, or 2 mWatts of power, during that1 msec period, thus delivering a total of 2 microjoules of energy duringthe 1 msec period. Alternatively, as depicted by a PWM torque curve 430,the attached power source (4V) could be pulsed at a 25% duty cycle(e.g., two 0.125 msec pulses each followed by a 0.375 msec pause duringthe 1 msec period of time) yielding the same energy output (2microjoules) during the one millisecond period (2*0.125 msec*8 mN*m).Referring to FIG. 29B, if the same exemplary motor, (one capable ofdelivering 8 milliNewton*meters with a supply voltage of 4V at 1000 RPM)is required to provide, under load, 4 mN*m during a 1 millisecond (msec)period of time to maintain a constant 1000 RPM (as depicted by torquecurve 422), an attached 4 volt system could be “stepped down” using aD/A converter and power amplifier to a voltage (e.g., 2V) to supply aconstant 4 mW during that 1 msec period yielding total a total energy of4 microjoules (4 mW*1 msec). Alternatively, as depicted by a PWM torquecurve 432 in FIG. 29B, the attached power source could be pulsed at a50% duty cycle (e.g., two 0.250 msec pulses each followed by a 0.250msec pause during the 1 msec period of time) yielding the same energyoutput (4 microjoules) during the one millisecond period (4*0.125 msec*8mN*m).

Referring to FIG. 30A, the drive system 300 can have a torque curve 440that represents the torque that is required, in some embodiments, tomaintain a constant RPM of the motor 320 when rotating in a secondrotational direction that retracts the pusher arm 325 away from the pawlmember 335. Unlike the first rotational direction, when the motor 320 isrotating in the second rotational direction, no force is applied fromthe spring device 357 to the motor 320. The torque curve for the secondrotational direction can be sum of, for example, the torque curve 442associated with initial startup of the motor 320 (refer to FIG. 30B),and the no-load torque curve 444 of the motor 320 (refer to FIG. 30C).Embodiments of the system 10 that employ a technique for limiting thetorque supplied by the motor 320 have the advantage of controlling theRPM of the motor 320, thus conserving energy and reducing vibrationassociated with over-revving of the motor 320.

In some embodiments of the system 10, the voltage received by the drivesystem 300 from the second power source 245 can vary due to, forexample, the charge remaining in the second power source 245. Referringto the previous example associated with FIG. 29, the pulse widths weredetermined based on a constant torque output from the power source 245(e.g., the torque supplied by a 4V input power). However, as the outputvoltage of the second power source 245 rises and falls, these pulsewidths can be adjusted to supply the necessary torque. In oneembodiment, a scalar multiple can be applied to the duration of thepulse width to correct for increased or decreased voltage. For example,if the sampled supply voltage to the motor 320 is 3.2 V, instead of the4V rated output voltage, a scalar multiplier (e.g., 1.25) can be appliedto the pulse width to correct for the change in voltage. In someembodiments, a scalar multiplier can be calculated by the controllerdevice 200. Referring to FIG. 31, pulse 450 is an exemplary voltagepulse with a pulse width 452 of 0.20 msec and may have been determinedbased on an input voltage of 4V. If the input voltage falls to 3.2V, theamount of energy imparted in the pulse is less than if the input voltagewas 4V. This imparted energy can be increased by increasing the durationof the pulse 450 (e.g., multiplying the pulse width by a scalar such as1.25). In this example, the modified pulse 460 has a pulse width 462 of0.25 msec. In some embodiments, the controller and/or the pump device100 can store a series of tables in memory for converting between adetected voltage output and an adjustment to the pulse duration (pulsewidths) and/or pulse frequency. For example, a detected voltage outputof between 3.4 V and 3.5 V can result in the use of a particular tabledefining a particular PWM pattern for voltage outputs in that range or aparticular scalar multiplier adjustment to another PWM pattern stored inmemory. The use of tables for particular voltage outputs can reduce thenumber of computations needed to adjust the PWM pattern for changes involtage output.

In the preceding embodiments of the PWM system, the voltage of thepulses remained constant, while the width of the pulses were adjusted tomaintain the motor 320 at a constant RPM. It should be clear to oneskilled in the art that other embodiments of the pulse width modulationsystem could employ other methods. In one alternate example, the pulsewidths could be kept constant, while the pauses in between the pulsescould be increased or decreased to simulate a pre-determined torquecurve. In additional embodiments, the RPM of the motor 320 could bemonitored and the pulse widths could be adjusted based on the RPM of themotor 320.

In some embodiments, the controller device 200 can detect a time periodfor the drive system to complete a medicine dispensing operation andadjust the delivered energy profile to meet the energy requirementprofile needed for the drive system. For example, a PWM profile thatprovides more energy than required can result in a more rapid actuationof the pump device. If the controller device 200 detects that the drivesystem completed the medicine dispensing operation in less time than apredetermined actuation time, then the controller device 200 candownwardly adjust the delivered energy profile. If the actuation takesmore time than a predetermined actuation time, the controller device 200can upwardly adjust the delivered energy profile. For example adelivered energy profile 470, as shown in FIG. 32, can be upwardly anddownwardly adjusted to further optimize the actuation of the drivesystem. In some embodiments, the controller device 200 can store thedelivered energy profile as an adjusted energy requirement profile forthe pump. For example, an energy requirement profile for a pump devicecan be stored in the memory device 318 in the pump device. In caseswhere the controller device 200 adjusts the delivered energy profile tomeet the energy requirement profile needed for the drive system, thecontroller device 200 can update the energy requirement profile storedon the memory device 318 for subsequent medicine dispensing operations.In some embodiments, the controller device 200 can also detect whetherthe actuation of the pump actually begins and upwardly adjust thedelivered energy profile if the pump fails to start.

A number of embodiments have been described. Nevertheless, it will beunderstood that various modifications may be made without departing fromthe spirit and scope of this disclosure. Accordingly, other embodimentsare within the scope of the following claims.

What is claimed is:
 1. A method of administering medicinal fluid to apatient, the method comprising: performing a first medicine dispensingoperation by supplying a first pattern of multiple electrical pulsesfrom an energy source to a drive system of a pump device to activate thedrive system during a predetermined actuation time; determining that thedrive system completed the first medicine dispensing operation in lesstime or more time than the predetermined actuation time; in response todetermining that the drive system completed the first medicinedispensing operation in less time or more time than the predeterminedactuation time, determining a width or frequency for a second pattern ofmultiple electrical pulses to be supplied as part of a second medicinedispensing operation, wherein the width or frequency for the secondpattern of multiple electrical pulses is different than a width orfrequency for the first pattern of multiple electrical pulses; andperforming the second medicine dispensing operation by supplying thesecond pattern of multiple electrical pulses from the energy source tothe drive system according to the determined width or frequency toactivate the drive system.
 2. The method of claim 1, wherein the firstpattern of multiple electrical pulses during the predetermined actuationtime corresponds to an incremental dispensing from a series ofincremental dispensings of the medicinal fluid.
 3. The method of claim1, wherein the pump device comprises a disposable and non-reusableinstrument that houses the energy source.
 4. The method of claim 1,wherein the first pattern of multiple electrical pulses is correlated toan energy requirement profile defined by the drive system, and whereinone or more components of the drive system are actuated in response tothe delivery of the first pattern of multiple electrical pulses so as todispense the medicinal fluid from the pump device.
 5. The method ofclaim 4, further comprising: determining a voltage of the energy source;determining another width or frequency for a third pattern of multipleelectrical pulses to be supplied as part of a third medicine dispensingoperation, wherein the another width or frequency for the third patternof multiple electrical pulses is determined at least in part based onthe determined voltage of the energy source, and wherein the anotherwidth or frequency for the third pattern of multiple electrical pulsesis different than the width or frequency for the second pattern ofmultiple electrical pulses; and performing the third medicine dispensingoperation by supplying the third pattern of multiple electrical pulsesfrom the energy source to the drive system according to the determinedanother width or frequency to activate the drive system.
 6. The methodof claim 4, further comprising: detecting a time interval for the drivesystem to complete the second medicine dispensing operation; adjustingthe energy requirement profile defined by the drive system based on thedetected time interval and a predetermined actuation time for the secondmedicine dispensing operation; and delivering a third pattern ofelectrical pulses from the energy source to the drive system of the pumpdevice that correlates to the adjusted energy requirement profiledefined by the drive system.
 7. The method of claim 6, furthercomprising storing the adjusted energy requirement profile incomputer-readable memory in the pump device.
 8. The method of claim 1,wherein the drive system comprises a limit switch, and whereindetermining that the drive system completed the first medicinedispensing operation in less time or more time than the predeterminedactuation time comprises determining the predetermined actuation timebased at least in part on one or more limit switch actuations.
 9. Themethod of claim 1, wherein supplied electrical energy for each of thefirst and second medicine dispensing operations includes an initialperiod of higher energy supply to overcome static forces of the drivesystem followed by a second period of lower energy.
 10. The method ofclaim 1, wherein the energy source comprises a rechargeable battery, themethod further comprising: charging the rechargeable battery with energyfrom a replaceable battery to maintain the rechargeable battery at acharge level greater than a threshold charge level when the replaceablebattery is in a non-depleted state.
 11. The method of claim 10, furthercomprising: determining a voltage of the rechargeable battery;determining another width or frequency for a third pattern of multipleelectrical pulses to be supplied as part of a third medicine dispensingoperation, wherein the another width or frequency for the third patternof multiple electrical pulses is determined at least in part based onthe determined voltage of the rechargeable battery, and wherein theanother width or frequency for the third pattern of multiple electricalpulses is different than the width or frequency for the second patternof multiple electrical pulses; and performing the third medicinedispensing operation by supplying the third pattern of multipleelectrical pulses from the rechargeable battery to the drive systemaccording to the determined another width or frequency to activate thedrive system.
 12. The method of claim 10, further comprising: outputtinga user alert indicative of a remaining power supply based at leastpartially on the threshold charge level when the replaceable battery isin a depleted state or disconnected from electrical communication withthe rechargeable energy source.
 13. The method of 12, wherein the useralert indicative of the remaining power supply indicates an estimatedamount of medicine dispensing time remaining.
 14. The method of 13,further comprising detecting a rate of use of the drive system andestimating the estimated amount of medicine dispensing time remainingbased on the rate of use of the drive system and the threshold chargelevel.
 15. A wearable infusion pump system, comprising: a pump deviceincluding a drive system to dispense medicine from the pump device; anenergy source to deliver electrical energy to the drive system toinitiate actuations of the drive system to perform a medicine dispensingoperation; control circuitry to initiate the medicine dispensingoperation by supplying the electrical energy to the drive system; memorystoring executable instructions that, when executed by the controlcircuitry, cause the wearable infusion pump system to perform operationscomprising: performing a first medicine dispensing operation bysupplying a first pattern of multiple electrical pulses from the energysource to the drive system of the pump device to activate the drivesystem during a predetermined actuation time; determining that the drivesystem completed the first medicine dispensing operation in less time ormore time than the predetermined actuation time; in response todetermining that the drive system completed the first medicinedispensing operation in less time or more time than the predeterminedactuation time, determining a width or frequency for a second pattern ofmultiple electrical pulses to be supplied as part of a second medicinedispensing operation, wherein the width or frequency for the secondpattern of multiple electrical pulses is different than a width orfrequency for the first pattern of multiple electrical pulses; andperforming the second medicine dispensing operation by supplying thesecond pattern of multiple electrical pulses from the energy source tothe drive system according to the determined width or frequency toactivate the drive system.
 16. The infusion pump system of claim 15,wherein the first pattern of multiple electrical pulses is correlated toan energy requirement profile defined by the drive system, and whereinone or more components of the drive system are actuated in response tothe delivery of the first pattern of multiple electrical pulses so as todispense the medicine fluid from the pump device.
 17. The infusion pumpsystem of claim 16, the operations further comprising: detecting a timeinterval for the drive system to complete the second medicine dispensingoperation; adjusting the energy requirement profile defined by the drivesystem based on the detected time interval and a predetermined actuationtime for the second medicine dispensing operation; and delivering athird pattern of electrical pulses from the energy source to the drivesystem of the pump device that correlates to the adjusted energyrequirement profile defined by the drive system.
 18. The infusion pumpsystem of claim 15, the operations further comprising: determining avoltage of the energy source; determining another width or frequency fora third pattern of multiple electrical pulses to be supplied as part ofa third medicine dispensing operation, wherein the another width orfrequency for the third pattern of multiple electrical pulses isdetermined at least in part based on the determined voltage of theenergy source, and wherein the another width or frequency for the thirdpattern of multiple electrical pulses is different than the width orfrequency for the second pattern of multiple electrical pulses; andperforming the third medicine dispensing operation by supplying thethird pattern of multiple electrical pulses from the energy source tothe drive system according to the determined another width or frequencyto activate the drive system.
 19. The infusion pump system of claim 15,wherein the drive system comprises a limit switch, and whereindetermining that the drive system completed the first medicinedispensing operation in less time or more time than the predeterminedactuation time comprises determining the predetermined actuation timebased at least in part on one or more limit switch actuations.
 20. Theinfusion pump system of claim 15, wherein supplied electrical energy foreach of the first and second medicine dispensing operations includes aninitial period of higher energy supply to overcome static forces of thedrive system followed by a second period of lower energy.